Clinical Account Executive

🔥 3 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💼 Account Executive

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Liviniti

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Liviniti is a pass-through pharmacy benefit manager (PBM) that helps employers and health systems reduce prescription drug costs through transparent pricing, clinical programs, and drug sourcing. The company offers 100% rebate pass-through, a flat administrative fee, access to claims and rebate details for full visibility, customizable formularies and networks, prior authorization focused on lowest net cost, and specialized solutions like LivLite for managing GLP‑1 weight-loss drugs. Liviniti emphasizes B2B service, clinical value, and continuous innovation to lower pharmacy spend while maintaining member support and service.

📋 Description

• Support pharmacy benefit management programs through development of clinical strategies, including formulary development, utilization management, rules development, vendor management, and Clinical Care Management product development • Develop new clinical strategies and oversee clinical programs developed internally and by third parties • Analyze, interpret, and develop written recommendations using prescription claims data • Participate in client implementation meetings • Develop and maintain client relationships and support client satisfaction • Collaborate with Account Management and Implementation teams to support client needs • Develop client-specific clinical recommendations to improve healthcare outcomes and control drug spend • Investigate and resolve client issues • Make recommendations regarding drug pipeline activity • Meet with clients to discuss clinical trends, review pharmacy data, and provide recommendations and rationale for clinical management strategies • Serve as the clinical consultant and drug information expert on account teams • Provide operational subject matter expertise to Account Management and Implementation teams • Analyze and evaluate pharmacy data and reporting, and create/design ad-hoc reports • Develop communication materials regarding formulary and utilization management changes, health literacy, medication adherence, and pharmacy trends • Support customer service when clinical claim review is needed • Collaborate cross-functionally to build consensus and support organizational goals • Abide by HIPAA obligations related to Protected Health Information and report violations • Attend and demonstrate competency in required HIPAA training • Perform other responsibilities and projects as needed

🎯 Requirements

• Ability to work independently • Ability to translate clinical information into a manner appropriate for clinical and non-clinical audiences • Ability to research and analyze medical literature, including drug information, disease states, and clinical practice guidelines, and apply sound clinical judgment • Support the Clinical, Account Management, and Implementation teams • Maintain professional image and presence • Adhere to all SS policies and procedures • PharmD from an accredited College of Pharmacy; B.S. Pharmacy accepted • Five (5) years of pharmacy experience working for a Health Plan or PBM • Experience in client-facing role and client presentations • Experience with utilization management including specialty medication management strategies, clinical program development, drug use evaluation, and formulary development and maintenance • Excellent written and oral skills, both in developing materials and presenting to clients • Ability to multi-task and work outside the clinical environment • Exceptional clinical, business, and relationship building skills • Ability to work during core hours of 8:00AM to 5:00PM CT and adjust work times to cover meetings in all time zones • Ability to work extended hours, weekends and holidays pursuant with industry demands • Up to 10% - 25% travel, including overnight travel outside the local area • Completion of a pharmacy practice, managed care, or specialty residency preferred • Three (3) years of experience in analyzing raw prescription claims data preferred • Proficiency in using database information systems and Microsoft Office Suite preferred

🏖️ Benefits

• Medical, Dental, Vision insurance • Disability and Life insurance • Employee Assistance Program • Remote work options • Generous Paid-Time Off • Annual Reviews and Development Plans • Retirement Plan with company match immediately 100% vested

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